HCD FINAL EXAM STUDY GUIDE
CORRECT 100%
What are the 4 components of a healthcare system?
A) Shared beliefs, values, communication, and a strong shared vision
B) Pharmaceutical industry, hospitals, doctors, and insurance companies
C) People, parts, interrelationships, and culture
D) Payers, patients, providers, and parts - ANSWERC) People, parts, interrelationships,
and culture
Which of the following statements is true?
A) The world health system ranking reports cannot be trusted as these reports all use
different measures for establishing their rankings
B) It doesn't seem to matter which measures are used within international health
systems rankings, the US healthcare system performs poorly amongst other developed
nations
C) The world health systems ranking reports cannot be trusted as these are not
reputable sources
D) The Commonwealth Fund report clearly ranks the US healthcare system much better
than the others - ANSWERB) It doesn't seem to matter which measures are used within
international health systems rankings, the US healthcare system performs poorly
amongst other developed nations
What are the 3 goals of a healthcare system? (Select all that apply)
A) Easy access
B) Patient satisfaction
C) High quality
D) Universal coverage, regardless of cost
E) Low cost - ANSWERA) Easy access, C) High quality, E) Low cost
Which of the following are measures of quality within a healthcare system?
A) Patient satisfaction
B) Patient outcomes
C) Patient safety
D) Patient insurance status - ANSWERA) Patient satisfaction, B) Patient outcomes, C)
Patient safety
Which of the following are measures of cost within a healthcare system? (Select all that
apply).
,A) Cost per procedure such as a knee or hip replacement
B) Patient insurance status such as insured or uninsured
C) Patient tax bracket
D) Healthcare spending as a % of the GDP
E) Patient income level - ANSWERA) Cost per procedure such as a knee or hip
replacement, D) Healthcare spending as a % of the GDP
Which of the following is NOT a measure of access within a healthcare system?
A) Physician to patient ratios
B) Patient income level
C) Patient insurance status such as insured or uninsured
D) Patient insurance coverage
E) Geographical proximity to needed services - ANSWERB) Patient income level
When analyzing healthcare systems, spending as a percent of the GDP is often
considered. What does this measure tell us?
A) The amount of dollars spent on healthcare every year
B) The percent of money spent on healthcare every year in one country, in relation to
the percent of money spent on healthcare in the same year in other countries
C) The amount of total dollars spent throughout all industries in an entire year
D) The percent of money spent on healthcare by insurance companies versus out-of-
pocket by individual patients
E) The percent of money spent on healthcare every year, in relation to the total amount
spent throughout all industries in the same year - ANSWERE) The percent of money
spent on healthcare every year, in relation to the total amount spent throughout all
industries in the same year
The US has universal coverage.
True or False - ANSWERFalse
There is high variability in cost, quality, and access throughout the US healthcare
system.
True or False - ANSWERTrue
In addition to cost, quality and access, which can be considered a building block of
health systems?
A) Innovation
B) Culture
C) Politics
D) Religion - ANSWERA) Innovation
,What does the term universal access mean?
A) That everyone has access to health insurance, no matter where they are in the world
B) That everyone in a country has access to equal coverage of health insurance
C) That everyone in a country has access to healthcare services, regardless of health
insurance status
D) That everyone within a country has access to some form of health insurance -
ANSWERD) That everyone within a country has access to some form of health
insurance
What type of health insurance programs became popular immediately after WWII?
A) Employer-based insurance
B) Medicaid
C) Medicare
D) VA/Tricare - ANSWERA) Employer-based insurance
What is a premium?
A) The set percentage of the bill that must be paid at the point of service
B) The amount paid monthly for a health insurance plan
C) The amount that must be paid out-of-pocket annually, before insurance coverage
kicks in
D) The set dollar amount that you must pay at the point of service - ANSWERB) The
amount paid monthly for a health insurance plan
What is a deductible?
A) The set percentage of the bill that must be paid at the point of service
B) The set dollar amount that you must pay at the point of service
C) The amount that must be paid out-of-pocket annually, before insurance coverage
kicks in
D) The amount paid monthly for a health insurance plan - ANSWERC) The amount that
must be paid out-of-pocket annually, before insurance coverage kicks in
What does the term prospective mean?
A) It's another term for bundled payments
B) It is when the reimbursement amount for a service or group of services are set in
advance
C) It is when the reimbursement amount for a service or group of services are set after
treatment is given and is based upon the overall quality of care given
D) It means that patient's have to call their insurance company ahead of their treatment
to negotiate their cost of care - ANSWERB) It is when the reimbursement amount for a
service or group of services are set in advance
, Which of the following accurately describe aspects of the U.S. DRG payment model?
(Select all that apply).
A) Follows a patient for 30-days post-discharge
B) A prospective payment model
C) Includes physician services
D) Covers costs from admission to discharge - ANSWERA) Follows a patient for 30-
days post-discharge
B) A prospective payment model
D) Covers costs from admission to discharge
Which of the following are key distinctions between the DRG payment model and the
EDRG payment model? (Select all that apply).
A) DRG includes physician services, while EDRG does not
B) DRG follows a patient for up to 5 years, while EDRG will only ever follow a patient for
30-days
C) DRG does not include physician services, while EDRG does include physician
services in the bundled price
D) DRG will only ever follow a patient for 30-days, while EDRG follows a patient for up
to 5 years, - ANSWERC) DRG does not include physician services, while EDRG does
include physician services in the bundled price
D) DRG will only ever follow a patient for 30-days, while EDRG follows a patient for up
to 5 years
Which payment model provides the least financial risk for providers and the most
financial risk for payers?
A) Pay-for-peformance
B) Fee-for-service
C) Capitation
D) Reference pricing - ANSWERB) Fee-for-service
Which payment model provides the least financial risk for payers and the most financial
risk for providers?
A) Reference Pricing
B) Pay-for-performance
C) Fee-for-service
D) Capitation - ANSWERD) Capitation
The following is an example of secondary level of health care services:
A) Family planning services
B) Emergency obstetric care in case of high-risk pregnancy
C) Specialized surgical services in case of cancer
CORRECT 100%
What are the 4 components of a healthcare system?
A) Shared beliefs, values, communication, and a strong shared vision
B) Pharmaceutical industry, hospitals, doctors, and insurance companies
C) People, parts, interrelationships, and culture
D) Payers, patients, providers, and parts - ANSWERC) People, parts, interrelationships,
and culture
Which of the following statements is true?
A) The world health system ranking reports cannot be trusted as these reports all use
different measures for establishing their rankings
B) It doesn't seem to matter which measures are used within international health
systems rankings, the US healthcare system performs poorly amongst other developed
nations
C) The world health systems ranking reports cannot be trusted as these are not
reputable sources
D) The Commonwealth Fund report clearly ranks the US healthcare system much better
than the others - ANSWERB) It doesn't seem to matter which measures are used within
international health systems rankings, the US healthcare system performs poorly
amongst other developed nations
What are the 3 goals of a healthcare system? (Select all that apply)
A) Easy access
B) Patient satisfaction
C) High quality
D) Universal coverage, regardless of cost
E) Low cost - ANSWERA) Easy access, C) High quality, E) Low cost
Which of the following are measures of quality within a healthcare system?
A) Patient satisfaction
B) Patient outcomes
C) Patient safety
D) Patient insurance status - ANSWERA) Patient satisfaction, B) Patient outcomes, C)
Patient safety
Which of the following are measures of cost within a healthcare system? (Select all that
apply).
,A) Cost per procedure such as a knee or hip replacement
B) Patient insurance status such as insured or uninsured
C) Patient tax bracket
D) Healthcare spending as a % of the GDP
E) Patient income level - ANSWERA) Cost per procedure such as a knee or hip
replacement, D) Healthcare spending as a % of the GDP
Which of the following is NOT a measure of access within a healthcare system?
A) Physician to patient ratios
B) Patient income level
C) Patient insurance status such as insured or uninsured
D) Patient insurance coverage
E) Geographical proximity to needed services - ANSWERB) Patient income level
When analyzing healthcare systems, spending as a percent of the GDP is often
considered. What does this measure tell us?
A) The amount of dollars spent on healthcare every year
B) The percent of money spent on healthcare every year in one country, in relation to
the percent of money spent on healthcare in the same year in other countries
C) The amount of total dollars spent throughout all industries in an entire year
D) The percent of money spent on healthcare by insurance companies versus out-of-
pocket by individual patients
E) The percent of money spent on healthcare every year, in relation to the total amount
spent throughout all industries in the same year - ANSWERE) The percent of money
spent on healthcare every year, in relation to the total amount spent throughout all
industries in the same year
The US has universal coverage.
True or False - ANSWERFalse
There is high variability in cost, quality, and access throughout the US healthcare
system.
True or False - ANSWERTrue
In addition to cost, quality and access, which can be considered a building block of
health systems?
A) Innovation
B) Culture
C) Politics
D) Religion - ANSWERA) Innovation
,What does the term universal access mean?
A) That everyone has access to health insurance, no matter where they are in the world
B) That everyone in a country has access to equal coverage of health insurance
C) That everyone in a country has access to healthcare services, regardless of health
insurance status
D) That everyone within a country has access to some form of health insurance -
ANSWERD) That everyone within a country has access to some form of health
insurance
What type of health insurance programs became popular immediately after WWII?
A) Employer-based insurance
B) Medicaid
C) Medicare
D) VA/Tricare - ANSWERA) Employer-based insurance
What is a premium?
A) The set percentage of the bill that must be paid at the point of service
B) The amount paid monthly for a health insurance plan
C) The amount that must be paid out-of-pocket annually, before insurance coverage
kicks in
D) The set dollar amount that you must pay at the point of service - ANSWERB) The
amount paid monthly for a health insurance plan
What is a deductible?
A) The set percentage of the bill that must be paid at the point of service
B) The set dollar amount that you must pay at the point of service
C) The amount that must be paid out-of-pocket annually, before insurance coverage
kicks in
D) The amount paid monthly for a health insurance plan - ANSWERC) The amount that
must be paid out-of-pocket annually, before insurance coverage kicks in
What does the term prospective mean?
A) It's another term for bundled payments
B) It is when the reimbursement amount for a service or group of services are set in
advance
C) It is when the reimbursement amount for a service or group of services are set after
treatment is given and is based upon the overall quality of care given
D) It means that patient's have to call their insurance company ahead of their treatment
to negotiate their cost of care - ANSWERB) It is when the reimbursement amount for a
service or group of services are set in advance
, Which of the following accurately describe aspects of the U.S. DRG payment model?
(Select all that apply).
A) Follows a patient for 30-days post-discharge
B) A prospective payment model
C) Includes physician services
D) Covers costs from admission to discharge - ANSWERA) Follows a patient for 30-
days post-discharge
B) A prospective payment model
D) Covers costs from admission to discharge
Which of the following are key distinctions between the DRG payment model and the
EDRG payment model? (Select all that apply).
A) DRG includes physician services, while EDRG does not
B) DRG follows a patient for up to 5 years, while EDRG will only ever follow a patient for
30-days
C) DRG does not include physician services, while EDRG does include physician
services in the bundled price
D) DRG will only ever follow a patient for 30-days, while EDRG follows a patient for up
to 5 years, - ANSWERC) DRG does not include physician services, while EDRG does
include physician services in the bundled price
D) DRG will only ever follow a patient for 30-days, while EDRG follows a patient for up
to 5 years
Which payment model provides the least financial risk for providers and the most
financial risk for payers?
A) Pay-for-peformance
B) Fee-for-service
C) Capitation
D) Reference pricing - ANSWERB) Fee-for-service
Which payment model provides the least financial risk for payers and the most financial
risk for providers?
A) Reference Pricing
B) Pay-for-performance
C) Fee-for-service
D) Capitation - ANSWERD) Capitation
The following is an example of secondary level of health care services:
A) Family planning services
B) Emergency obstetric care in case of high-risk pregnancy
C) Specialized surgical services in case of cancer
